This provider's $258.8M in total Medicare payments ranks in the 99th percentile of Clinical Laboratory providers nationally.
Medicare payments to this provider grew 15148% from 2014 to 2023.
65% of their billing comes from a single procedure code (81529 — Mrna gene analysis of 31 genes in skin melanoma tissue specimen).
AI-generated analysis based on Medicare payment data.
Notable: Payments increased 771% in 2018
Year-over-year payment surges can indicate changes in practice volume, new services, or billing pattern shifts.
Average per-service amounts submitted by the provider compared to what Medicare actually paid — the gap represents the markup.
| Year | Avg Submitted | Avg Paid | Markup Ratio | Gap per Service | Total Payments | Services | Beneficiaries |
|---|---|---|---|---|---|---|---|
| 2014 | $6.9K | $2.0K | 3.42x | $4.9K | $465.1K | 231 | 2 |
| 2015 | $8.0K | $2.4K | 3.41x | $5.7K | $752.2K | 320 | 1 |
| 2016 | $8.0K | $4.0K | 2.00x | $4.0K | $1.3M | 330 | 1 |
| 2017 | $8.2K | $4.1K | 2.03x | $4.2K | $1.3M | 328 | 2 |
| 2018 | $8.5K | $4.1K | 2.10x | $4.5K | $11.6M | 2.9K | 1 |
| 2019 | $8.5K | $5.6K | 1.52x | $2.9K | $28.6M | 5.1K | 2 |
| 2020 | $8.5K | $6.9K | 1.22x | $1.6K | $35.0M | 5.0K | 2 |
| 2021 | $8.4K | $7.0K | 1.19x | $1.3K | $48.0M | 6.8K | 3 |
| 2022 | $8.3K | $6.9K | 1.21x | $1.4K | $60.7M | 8.8K | 4 |
| 2023 | $7.7K | $6.1K | 1.26x | $1.6K | $70.9M | 11.6K | 9 |
| Code | Description | Services | Payments | Avg/Service | Markup |
|---|---|---|---|---|---|
| 81529 | Mrna gene analysis of 31 genes in skin melanoma tissue specimen | 23.6K | $167.4M | $7.1K | 1.20x |
| 81599 | Multianalyte assay procedure with algorithmic analysis | 12.4K | $72.7M | $5.9K | 1.45x |
| 81552 | Mrna gene expression analysis of 15 genes in eye melanoma o tissue or fine needle aspirate | 1.5K | $10.6M | $6.9K | 1.25x |
| 84999 | Chemistry procedures | 1.1K | $3.5M | $3.2K | 2.48x |
| 0090U | Mrna gene expression profiling of 23 genes in skin melanoma tissue sample | 1.1K | $2.0M | $1.8K | 2.36x |
| 0081U | Oncology (uveal melanoma), mrna, gene-expression profiling by real-time rt-pcr of 15 genes (12 content and 3 housekeeping genes), utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue, algorithm reported as risk of metastasis | 390 | $1.6M | $4.0K | 2.13x |
| 81418 | Genomic sequence analysis panel of at least 6 genes associated with drug metabolism | 493 | $454.5K | $921.85 | 5.10x |
| 81479 | Molecular pathology procedure | 154 | $236.7K | $1.5K | 3.06x |
| 0411U | Psyc genom alys pnl 15 gen | 152 | $136.6K | $898.74 | 5.23x |
| 81226 | Gene analysis (cytochrome p450, family 2, subfamily d, polypeptide 6) common variants | 246 | $108.7K | $441.89 | 1.93x |
| 81225 | Gene analysis (cytochrome p450, family 2, subfamily c, polypeptide 19) common variants | 309 | $88.2K | $285.53 | 1.90x |
| 88381 | Preparation of specimen, manual | 34 | $4.1K | $120.74 | 5.38x |
| 81227 | Gene analysis (cytochrome p450, family 2, subfamily c, polypeptide 9) common variants | 13 | $2.2K | $171.31 | 2.99x |
This provider submits charges 1.31 times higher than what Medicare actually pays.
A markup ratio of 1.31x means for every $100 Medicare pays, this provider initially charges $131. This is lower than the national average.
Always verify provider credentials and location before scheduling appointments. This data reflects Medicare payments and may not include all practice locations.
Other Clinical Laboratory providers in AZ for peer comparison.
| Provider | Location | Total Payments | Status |
|---|---|---|---|
| Sonora Quest Laboratories Llc | Phoenix, AZ | $565.3M | ⚠️ Flagged |
| Laboratory Corporation Of America | Phoenix, AZ | $389.8M | ⚠️ Flagged |
| Caris Mpi, Inc. | Phoenix, AZ | $382.6M | ⚠️ Flagged |
| Genetic Technological Innovations, Llc | Scottsdale, AZ | $93.5M | ⚠️ Flagged |
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Last Updated: February 2026 (data through 2023, the latest CMS release)
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.
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